CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Spartanburg Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$36,809
about 1.6× the $23,504 Medicare rate · typically $26,141–$53,971
modeled estimate · not a bill or quote
What this hospital charges insurers
$51,664
Above the fair price
about $14,855 over the fair price · 2.2× Medicare
Medicare pays $23,504 Fair price $36,809 This hospital $51,664

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

Highest price of the 9 SC hospitals we have prices for — worth calling around.

Cheapest $18,320 Priciest $51,664

Black dot = this hospital, among the 9 SC hospitals with a price for this procedure. Full list below.

A fair price for a Spinal fusion, single level (inpatient stay) is about $36,809 (about 1.6× the $23,504 Medicare rate). Spartanburg Medical Center charges insurers about $51,664 — above the fair price. Located in Spartanburg, SC.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $36,809. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $24,546 - $110,405 104%
Blue Cross Blue Shieldmajor $24,000 - $128,151 102%
Aetnamajor $24,784 105%
Cignamajor $25,499 - $97,429 108%
Humanamajor $23,831 101%
Devoted Health $24,546 104%
Health Net $98,366 419%
Molina $25,022 - $51,686 106%
SelectHealth $25,022 - $51,641 106%
WellCare $25,022 106%
+ 2 smaller / regional plans $25,022 - $78,353

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 101 E Wood St, Spartanburg, SC 29303
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals